Individual
CAROLINE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P,
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-6206
(508) 334-6083
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN224809
MA
363LN0000X
Neonatal Nurse Practitioner
RN224809
MA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
005959
CT
363LN0005X
Critical Care Neonatal Nurse Practitioner
RN224809
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110013857A
—
MA
01
—
S400330096
MEDICARE
MA
Enumeration date
03/27/2006
Last updated
11/16/2020
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